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*Required field

Man

Woman

Wedding Date*

Title*

Preferred first name*

Surname*

Phone No.*

email*

Title*

Preferred first name*

Surname*

Phone No.*

email*

Address *

(Minimum requirement: first line and postcode)

Postcode*

(For addresses outside UK, IoM & Channel Isles, please enter your full address in the address boxes and INT in the postcode box.)

First choice weekend*

Second choice weekend

How you heard about Marriage Encounter*

(Ctrl-Click to select more than one option)

Other: 150 char. max.

Please let us know any special personal requirements (eg diet, access etc)

(max 900 characters)

Note: If you have been married less than two years we would recommend the Engaged Encounter Weekend as being likely to meet your needs more fully.